Dolezal, Shannon Becker

Dolezal, Shannon Becker is an individual health care provider with primary practice located at 3949 15Th Ave S , Minneapolis MN 55407-2742. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Dolezal, Shannon Becker can be contacted via phone (706) 206-2639.

Contact Information

Primary practice address
3949 15Th Ave S Minneapolis MN 55407-2742
Phone: (706) 206-2639
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1578526968
LBN Legal business name Dolezal, Shannon Becker
Credentials MA, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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